Revised-Performance Statement of Work.pdf

PERFORMANCE STATEMENT OF WORK

SECTION 1

GENERAL

FOR _Laundry and Linen Service______

The contractor shall provide any and all labor, equipment, supplies, services, permits, licenses, necessary to perform the collection, laundering, and delivery of laundry, linen, and housekeeping cleaning items for the Winnebago IHS Hospital and DDU (Drug Dependency Unit) in Winnebago, NE.

The contractor must be registered with the Central Contractor Registration (CCR) and Dun & Bradstreet. Personnel performing the work must ensure that all certifications required by the State of Nebraska are available on file at the Contractor’s place of business. This statement of work consists of completing the tasks/subtasks in Section 5 to the performance requirements of Section 7.

The period of performance for the Base Year will be from the “Date of Award” or March 1, 2011 through February 29, 2012. Option Year 1 is from March 1, 2012 through February 28, 2013, Option Year 2 is from March 1, 2013 through February 28, 2014, Option Year 3 is from March 1, 20114 through February 28, 2015, Option Year 4 is from March 1, 2015 through February 28, 2016.

SECTION II

DEFINITIONS

TERM MEANING

Services Includes services performed, workmanship, and material furnished or utilized in the performance of services.

SECTION III

GOVERNMENT FURNISHED PROPERTY, MATERIALS, SERVICES

GOVT FURNISHED

PROPERTY/SERVICES/

DATA ETC.

QUANTITY WHERE, WHEN, HOW

TO BE FURNISHED TO

CONTRACTOR

ID Badge/Access Control As Required On Site by COR upon each visit.

Keys As Required On Site by COR upon each visit.

Departmental Training As Required On site by COR upon first visit to hospital.

SECTION IV

CONTRACTOR FURNISHED CRITICAL ITEMS /SERVICES

DESCRIPTION QUANTITY

Required Inventory See inventory items in Section 5.5

SECTION V

PERFORMANCE WORK STATEMENT TASKS AND CRITICAL SUBTASKS

For Laundry and Linen Service

The contractor shall perform the following tasks and subtasks to the quality performance standards addressed in Section 7.

5.1 Contractor Responsibility. The contractor shall provide all labor, containers, linen, cleaning items, transportation, pay applicable taxes, and have liability insurance. The contractor shall perform the work to the Quality/Performance Requirements identified in Section 7.

5.1.1 Contractor Guidance. The contractor shall process linen in accordance with applicable portions of the following Attached documents:

Attachment 1. Center for Disease Control (CDC) guidelines for laundry in Healthcare Facilities.

Attachment 2. CDC guidelines for Laundry—Washing Infected Material Attachment 3. The Joint Commission’s Standards (JCAHO) for Infection Control (Universal Precautions).

Attachment 4. Healthcare Laundry Accreditation Council (HLAC).

The contractor shall perform the work to the Quality/Performance Requirements identified in Section 7.

5.2 Linen and Cleaning Items Processing. The contractor shall provide a facility and linen processing that meets the Laundry Facility Inspection Checklist (Attachment 5) and State Health Department Requirements. The contractor shall perform the work to the Quality/Performance Requirements identified in Section 7.

5.3 Item Handling and Delivery. The contractor shall provide collections and deliveries at least two (2) times per week. The delivery days of the week, which the contractor will make collections and deliveries, will be Monday and Thursday. The contractor shall perform the work to the Quality/Performance Requirements identified in Section 7.

5.3.1 Delivery Vehicle. The contractor shall make deliveries directly to the hospital in a closed laundry vehicle. Deliveries in an open conveyance will not be accepted. The contractor shall perform the work to the Quality/Performance Requirements identified in Section 7.

5.3.2 Garment Handling. The contractor shall insure that all garments and flat work shall be packed by type of garment and item in clear plastic wrapping and sealed by the heat or pressure method and handled in such a manner as to prevent contamination. The contractor shall perform the work to the Quality/Performance Requirements identified in Section 7.

5.3.3 Delivery. The contractor shall insure that incoming processed laundry will be inventoried by a Housekeeping representative in the presence of the Laundry representative. Any damages and/or shortages will be noted on the receipt given to the contractor. The laundry representative will acknowledge these damages and/or shortages by signature on the receipt along with the housekeeping representative. Articles damaged and/or shorted must be immediately replaced in kind. In the event replacement is not made, deductions shall be made from payment due to the contractor for damages or lost linens. The contractor shall perform the work to the Quality/Performance Requirements identified in Section 7.

5.4 Contractor Facilities. The contractor shall recognize that the Government reserves the right to inspect the contractor’s facility at reasonable times during the performance of this contract. If an inspection reveals the existence of unsanitary conditions the contractor will be requested, in writing, by the Contracting Officer, to correct such conditions. Refusal to correct unsanitary conditions shall constitute sufficient cause for the Government to terminate this contract. The contractor shall perform the work to the Quality/Performance Requirements identified in Section 7.

5.5 Required Inventory. The contractor shall provide the required inventory shown below in the list of Departments, items, and estimated stock levels required at the Hospital under this contract. The numbers listed in the TOTALS column represent an estimate of the total amount of each item required on a weekly basis. For estimation purposes, the contractor shall provide 1/2 of the TOTALS amount of each item at the Winnebago Hospital while the other 1/2 of the inventory is being laundered for each delivery. The contractor shall provide collections and deliveries at least two (2) times per week. The delivery days of the week will be Monday and Thursday.

ITEM HSKPNG ER INPATNT PT DIETARY X-RAY DDU TOTALS

Bath Towels

12 50 12 40 32 146

Wash Cloths

6 46 40 48 140

Thermal Blankets

12 50 4 32 94

Bath Blanket

12 65 6 32 115

Gowns ** 21 30 12 63

Gowns, Child **

17 17

Pajamas- Top & Bottom **

40 40

Pajamas – Child **

3 3

Pajamas – Infant **

23 23

Sheet, Flat 100 61 28 50 32 271

Sheet, Fitted (Verify Sizes)

64 12 40 32 148

Pillow Cases

118 150 12 26 32 338

Huck Towels

14 14

Baby Towels

19 19

Aprons 30 30

High Duster Sock 8

MicroFiber Towel 1600

ITEM HSKPNG ER INPATNT PT DIETARY X-RAY DDU TOTALS

High Duster Wand 4

18" Duotech Microsweep 150

24" Mop Tool 5

24" Mop 10 10

30" Mop Tool 4

30" Mop 5 5

42" Mop Tool 4

42" Mop 3 3

18" Mop Holder Frame 8

Wet Mops 115 115

3' x 10' Floor Mats 22

Curtains * 25 25 *Curtains are owned by the hospital and will just need to be laundered and returned.

**Please include the sizes & styles that your company can provide for gowns and pajamas.

Inventory amounts are subject to increase/decrease as much as 10% per item throughout the entire period of performance. Only the Project Officer or Housekeeping Supervisor may adjust the inventory numbers. The contractor shall perform the work to the Quality/Performance Requirements identified in Section 7.

5.6 Documentation

5.6.1 Quality Control Plan for approval.

5.6.2 Current State Health Department Certificate.

5.6.3 Proof of Liability Insurance.

5.6.4 Completed Laundry Facility Inspection Checklist with Deficiencies Noted and Plan for Correction.

5.6.5 Material Safety Data Sheets (MSDS)

SECTION VI

GOVERNMENT PUBLICATIONS/INDUSTRY STANDARDS/STATE

STANDARDS.GOVERNMENT STANDARDS/TECHNICAL EXHIBITS

Attachment 1. Center for Disease Control (CDC) guidelines for laundry in Healthcare Facilities.

Attachment 2. CDC guidelines for Laundry—Washing Infected Material Attachment 3. The Joint Commission’s Standards (JCAHO) for Infection Control (Universal

Precautions).

Attachment 4. Healthcare Laundry Accreditation Council (HLAC).

Attachment 5. Laundry Facility Inspection Checklist.

SECTION VII

QUALITY/PERFORMANCE REQUIREMENTS

Task/Critical Subtask

Quality/ Performance Standards

Acceptable Quality Level

Means of Measurement

Negative Incentives (Apply to all tasks)

Positive Incentives

5.1 Contractor

Responsibility

5.1.1 Contractor

Guidance

5.2 Linen and

Cleaning Items Processing

5.3 Item Handling

and Delivery

5.3.1 Delivery

Vehicle

5.3.2 Garment

Handling

5.3.3 Delivery

5.4 Contractor

Facilities

5.5 Required

Inventory

Follow the Following Guidelines

1) All industry state, county, and local standards applicable for this type of work by 1/19/11.

2) Must follow

CDC, JCAHO,

and HLAC guidelines.

3) Process must meet Laundry Facility Inspection Checklist.

4) Deliveries will be at least 2 times per week.

5) Must be a closed laundry vehicle.

6) Items must be wrapped in plastic.

7) Driver and Housekeeping representative must complete inventory check.

7) Contractor must comply with Laundry Facility Inspection Checklist.

8) Consists of items listed in matrix on pages 3-4.

100%

Verify contractor records, data, reports.

Periodic/random verification by Government.

Invoice delivery and verification.

Verify means of transport.

Verify all items delivered per instructions.

Verify all item amounts are correct upon delivery and on invoices.

Periodic/random

Verify all item amounts are correct upon delivery and on

Rework @ no cost to Government

Rewash or replace @ no cost to Government

Poor performance evaluation

Poor performance may require cure notice and possible loss of contract.

5.6 Documentation

5.6.1 Quality

Control Plan for approval.

5.6.2 Current State

Health Department Certificate.

5.6.3 Proof of

Liability Insurance.

5.6.4 Completed

Laundry Facility Check List with Deficiencies Noted and Plan for Correction.

5.6.5 Material

Safety Data Sheets

(MSDS)

Clear, concise, and contains all data required by Government

Documentation listed in this section must be submitted in order to be eligible for contract award.

invoices.